NPI | 1417592908 |
---|---|
Other Name | DIANE WOLSTENHOLME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021119) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021119) |
Enumeration Date | 2019-11-08 |
Last Update Date | 2020-02-14 |